Alaska AHEC Pipeline Programming Interest Form
The Alaska AHEC is committed to providing health career pipeline programming to Alaskan youth across the state with a special focus on rural and underserved communities who may have limited access to instructional expertise in health career exploration.

The AHEC has been awarded a 3-year Carl Perkins Postsecondary CTE grant to continue high school career camps and expand access to career paths for rural districts utilizing a DEED approved Health Career and Technical Education Program of Study (CTEPS). 2023-23 is year 2 of this 3-year award.

The purpose of this form is to collect interest from school districts, universities, college campuses, regional training centers and other AHEC partners to run customized health career exploration programming throughout Alaska. If you have any questions regarding this form, please email uaa_ahec@alaska.edu.
Sign in to Google to save your progress. Learn more
Organization Name *
Organization Location *
Lead Contact Name *
Lead Contact Position *
Lead Contact Email Address *
Lead Contact Phone Number *
What type of programming are you interested in? *
Required
What type of career exploration are you interested in? *
Required
What format would you prefer? *
NOTE: Middle School programming MUST be in person due to funding requirements.
Required
The Alaska AHEC also offers certificate training for youth. It is possible to offer certificate training only. Some of these certificates are also part of our Middle School & High School camps . If you are interested ONLY in certificate training, please identify which certificates interest you:
The Alaska AHEC also offers Youth Mental Health First Aid for adults (age 18+) who work regularly with Youth. Are you interested in Youth MHFA for your organization?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy